MIRACLE BOARD AND CARE&ASSSISTED LIVING (NPI# 1154755411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154755411 |
| Entity Type | Organization |
| Organization Name | MIRACLE BOARD AND CARE&ASSSISTED LIVING |
| Practice Address |
17646 Calvert St Encino CA 91316-1216 |
| Practice Telephone | 8183441650 |
| Practice Fax Number | 8183441753 |
| Mailing Telephone | 8183441650 |
| Mailing Fax Number | 8183441753 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | LOUISA SARAFYAN (OWNER) |
| Authorized Official Telephone | 8184390611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 197608216 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LIC. RESIDENTIL CARE FACILITY | 197608216 | 01 |
| Street Address |
17646 CALVERT ST |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586490 | Valley Anesthesia and Ancillary Services, Inc. | Health Maintenance Organization | 5435 Balboa Blvd Ste 101, Encino, CA 91316-1686 | 2019-03-06 |
| 1861858375 | Superior Care Ipa, Inc | Health Maintenance Organization | 15821 Ventura Blvd, Suite 600, Encino, CA 91436-2915 | 2016-01-13 |
| 1962884536 | New Horizons Ipa, Inc. | Health Maintenance Organization | 15821 Ventura Blvd., #600, Encino, CA 91436 | 2015-06-19 |
| 1588075238 | South Florida Accountable Care Organization Inc | Health Maintenance Organization | 15821 Ventura Blvd Ste 600, Encino, CA 91436-2946 | 2014-05-15 |
| 1083844468 | Nabizadeh Denal Corporation | Health Maintenance Organization | 5204 Yarmouth Ave, #109, Encino, CA 91316-3102 | 2009-07-21 |
| 1275655250 | Premier Physician Network | Health Maintenance Organization | 16030 Ventura Blvd Ste 200, Encino, CA 91436-2754 | 2007-04-03 |
| 1184160756 | Encino Medical Center | Health Maintenance Organization | 17251 Ventura Blvd, Encino, CA 91316-4007 | 2017-01-06 |
| 1093167835 | Bay Area Accountable Care Network, Inc | Health Maintenance Organization | 15821 Ventura Blvd, Suite 600, Encino, CA 91436-2915 | 2016-07-05 |
| 1154785764 | Therapy With Roxanna, Inc | Health Maintenance Organization | 16661 Ventura Blvd, #444, Encino, CA 91436-1914 | 2016-04-09 |
| 1982861035 | Greater San Gabriel Valley Physicians | Health Maintenance Organization | 16030 Ventura Blvd, Suite 200, Encino, CA 91436-2731 | 2008-05-16 |
| Find all providers in ENCINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.